Injuries to the lingual nerve (LN) or inferior alveolar nerve (IAN) are well-known, uncommon complications of third molar operations. However, given an adequate third molar operative volume, these are complications that will be seen by virtually all practicing oral and maxillofacial surgeons at some point during their career. Having good information regarding the frequency, temporal patterns, risk factors, and management of LN or IAN injuries can be valuable to the practitioner. The article published by Robert et al summarizes the frequency, temporal pattern (ie, temporary versus permanent), and risk factors for LN and IAN injuries following third molar removal based on self-report of practitioners who are members of the California Association of Oral and Maxillofacial Surgeons. The results can be reviewed separately in the article. While there are biases associated with using self-report to estimate frequency of LN or IAN injures, the authors’ results are comparable to other publications. As the discussant, a few comments regarding the management of LN or IAN injuries are warranted. The most important aspect of managing LN or IAN injuries is documenting and communicating the findings of the neurosensory examination in a common, understandable, defined, and accepted manner. As an academic oral and maxillofacial surgeon, my more frustrating experiences revolve around reviewing the literature on nerve injuries or discussing cases with colleagues who cannot describe better their patient’s neurosensory findings after nerve injury. At our institution, we use the neurosensory examination scoring system described by Zuniga and Essick to evaluate and monitor nerve injuries. To assess outcomes, we use functional sensory recovery. These tools provide a common language for our faculty and residents to communicate with each other. This author strongly encourages other clinicians and researchers to use these tools to document and describe the neurosensory examination findings and outcomes after LN or IAN injury. Prevention of LN or IAN injuries is an important goal in the management of third molars. The risk of LN or IAN injury is zero if the third molar is not removed. As such, explicit diagnoses and justifications for third molar removal are indicated and should be clearly documented in the patient record. There is a set of radiographic markers evident on panoramic radiograph associated with an increased risk for IAN injury. In the setting of finding 1 or more of these markers, other imaging technologies should be considered (eg, periapical films, plain tomography, or computed tomography imaging). Currently, there are no good ways to evaluate the preoperative position of the LN. However, there are a number of articles reviewing the position of the LN in the third molar region. There exist some operative techniques to limit the risk of LN injury, including incision placement, limiting lingual flap elevation, avoiding lingual-split technique or a bur injury to the lingual alveolar bone, and careful debridement of lingual soft tissue. Injuries to the LN or IAN are probably unavoidable in a busy dentoalveolar practice. As outlined here, there are a number of diagnostic tools and procedural options to minimize the risk for nerve injury after third molar removal. Timely management of nerve injuries is linked to proper evaluation and documentation of neurosensory function and referral to a clinician (eg, oral and maxillofacial surgeon or other) with microneurosurgical training.